Organization Active NPI

Otoniel Huertas M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1093901316
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K9806 Issued in TX
Legal business name
OTONIEL HUERTAS M.D.
Practice address
7557 Rambler Rd
Ste 100
Dallas, TX 75231-4142
Phone
(972) 279-9000
Fax
(972) 279-9008
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Otoniel Huertas, M.D.
Title
President
Phone
(972) 279-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K9806 TX Primary

Addresses

Primary practice location

7557 Rambler Rd
Ste 100
Dallas, TX 75231-4142

Mailing address

7557 Rambler Rd
Ste 100
Dallas, TX 75231-4142
Phone (972) 279-9000

Other identifiers 2

IdentifierTypeStateIssuer
8F6103OtherTXMEDICARE PTAN INDIVIDUAL
00Y123OtherTXGROUP PTAN

National Provider Directory

National Provider Directory

Locations

12800 Preston Rd
Ste 201
Dallas, TX 75230
Phone (214) 351-2299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1093901316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-279-9000",
            "fax_number": "972-279-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-279-9000",
            "fax_number": "972-279-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTONIEL HUERTAS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "HUERTAS",
        "authorized_official_first_name": "OTONIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-279-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K9806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "8F6103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00Y123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.